<style type="text/css">
<!--
ol {
	list-style-position: inside;
	list-style-type: none;
}
li {
	list-style-position: inside;
	list-style-type: none;
	clear:both;
}
.wid120,.wid150{ float:left; padding:5px 0; display:block;  text-align:left; }
.wid150{width:80px;}
.wid120{width:160px;}
.form_input{width:150px; height:16px; font-size:11px;}
.form_texteare{width:210px; font-size:11px; height:120px;}
-->
</style>

<div class="page-head">
    <h3><?php echo Mage::helper('contactus')->__('Trade Enquiry') ?></h3>
</div>
<div id="messages_product_view"><?php echo $this->getMessagesBlock()->getGroupedHtml() ?></div>

<div class="padder">
	<form action="<?php echo $this->getFormAction(); ?>" id="contactForm" method="post">
		<p>Thank you for your enquiry. So that we can give you our best price, please submit the following  information. (All categories except other information and mobile number need to be mandatory).</p>
		<ol>
		  <li> <span class="wid120">Name</span> <span class="wid150"><input name="name" type="text"  class="form_input" /></span></li>
		  <li><span class="wid120">Company Name</span> <span class="wid150"><input name="company" type="text" class="form_input" /></span></li>
		  <li><span class="wid120">Address </span> <span class="wid150"><input name="address" type="text" class="form_input" /></span></li>
		  
		  <li> <span class="wid120">County</span> <span class="wid150"><input name="county" type="text" class="form_input" /></span></li>
		  <li><span class="wid120">Postcode</span> <span class="wid150"><input name="postcode" type="text" class="form_input" /></span></li>
		  <li><span class="wid120">Telephone</span> <span class="wid150"><input name="telephone" type="text" class="form_input" /></span></li>
		  <li><span class="wid120">Mobile</span> <span class="wid150"><input name="mobile" type="text" class="form_input" /></span></li>
		  <li><span class="wid120">Email </span> <span class="wid150"><input name="email" type="text" class="form_input" /></span></li>
		  <li><span class="wid120">Product(s) interested in</span> <span class="wid150"><input name="interestedProd" type="text" class="form_input" /></span></li>
		  <li><span class="wid120">Where and When you intend to sell these products</span> <span class="wid150"><input name="wherewhen" type="text" class="form_input" /></span></li>
		  <li><span class="wid120">Quantity Required</span> <span class="wid150"><input name="quantity" type="text" class="form_input" /></span></li>
		  <li><span class="wid120">Other Information</span> <span style="display:block; float:left; padding:5px 0;">
		  <textarea name="otherinfo" class="form_texteare"></textarea>
		  </span></li>
		</ol>
		<div style="clear:both"></div>
		<p>Thank you for your kind interest in our Company and products and we will  respond to your enquiry as soon as possible. </p>

		<div class="button-set">
			<input type="image" src="<?php echo $this->getSkinUrl('images/btn_submit.gif');?>" alt="<?php echo $this->__('Submit') ?>"/>
		</div>

	</form>
	<script type="text/javascript">
	    var contactForm = new VarienForm('contactForm', true);
	</script>
</div>